SUSAN EZZI ANP
NPI 1730547480
Nurse Practitioner - Gerontology in Voorhees, NJ
About Susan Ezzi Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN EZZI ANP (NPI 1730547480) is an individual gerontology provider in Voorhees, New Jersey, licensed in New Jersey (26NJ00617200) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan Ezzi Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Susan Ezzi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lakewood, NJ 08701
- Reassigned Medicare billing, New Jersey enrollment
- 18 clinicians in this Medicare group
Manasquan, NJ 08736
- Reassigned Medicare billing, New Jersey enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susan Ezzi's NPI number?
The NPI number for Susan Ezzi is 1730547480. It was assigned to this individual provider in the NPPES registry on February 9, 2016.
Where is Susan Ezzi located?
Susan Ezzi practices at 1086 Dumont Cir, Voorhees, NJ 08043. The listed phone number is (856) 454-9100.
What is Susan Ezzi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Susan Ezzi enrolled in Medicare?
Yes. Susan Ezzi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Susan Ezzi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ezzi reassigns Medicare benefits to 2 organizations: Longevity Clinical Ltc Associates Of New Jersey (Lakewood, NJ) and Coastal Comprehensive Healthcare, LLC (Manasquan, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Ezzi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susan Ezzi was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Susan Ezzi, ANP · NPI 1730547480
Gerontology physician in Voorhees, New Jersey. Individual provider, active in the CMS NPPES registry since February 9, 2016.
## Identity
- **NPI:** 1730547480 (Entity type: Individual)
- **Enumerated:** February 9, 2016
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 26NJ00617200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1086 DUMONT CIR, Voorhees, NJ 08043-3500
- **Phone:** (856) 454-9100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Longevity Clinical Ltc Associates Of New Jersey (NPI 1376114322, Lakewood, NJ); Coastal Comprehensive Healthcare, LLC (NPI 1952562936, Manasquan, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other 26NO12373900 (NJ); Other P00686400 (NJ); Other 26NJ00617200 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1730547480) · Data from the CMS NPPES public registry.